| NPI | 1083197032 |
|---|---|
| Doing Business As | DAVITA MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | VIJAY KOTTE Treasurer 303-876-6457 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-09-14 |